<!DOCTYPE html>
<html>
<head lang="en">
    <meta charset="UTF-8">
    <title>云his工作平台</title>
    <script type="text/javascript" src="/static/jquery/jquery-1.11.3.min.js"></script>
    <link rel="stylesheet" type="text/css" href="/static/easyui/css/bootstrap/easyui.css">
    <script type="text/javascript" src="/static/js/head.js"></script>
    <script type="text/javascript" src="../sys/js/chargeTypeVsIdentity.js"></script>
</head>
<body onload="onloadMethod()">

<table id="list_data" width="100%"  cellspacing="0" cellpadding="0">

</table>
<div id="dlg" class="easyui-dialog" style="width: 30%; height: 53%; padding: 10px 20px;"
     closed="true" buttons="#dlg-buttons">
    <form id="chargeTypeVsIdentityForm" method="post">
        <input name="id"  type="hidden" name="id"/>
        <div class="fitem fitem_pop">
            <label>
                医院：
            </label>
            <input name="hosId" class="easyui-validatebox" required="true" />
        </div>
        <div class="fitem fitem_pop">
            <label>
                费别：
            </label>
            <input name="chargeType" class="easyui-validatebox" required="true" />
        </div>
        <div class="fitem fitem_pop">
            <label>
                身份：
            </label>
            <input name="identitySerialNo" class="easyui-validatebox" required="true" />
        </div>
        <div class="fitem fitem_pop">
            <label>
                身份序号：
            </label>
            <input name="identity" class="easyui-validatebox" required="true" />
        </div>
    <div id="dlg-buttons">
        <a href="javascript:void(0)" class="easyui-linkbutton" onclick="saveDict()" iconcls="icon-save">保存</a>
        <a href="javascript:void(0)" class="easyui-linkbutton" onclick="javascript:$('#dlg').dialog('close')"
           iconcls="icon-cancel">取消</a>
    </div>
        </form>
</div>
</body>
</html>